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MUNICIPAL GENERAL ELECTION PETITION FOR OF THE CITY OF

We, the undersigned, qualified and duly registered voters of the City of Chicago, County of Cook, State of , do hereby petition that LORI LIGHTFOOT, who resides at 3434 W. Wrightwood Ave., in the City of Chicago, Zip Code 60647, County of Cook, State of Illinois, shall be a candidate for election to the office of MAYOR OF THE CITY OF CHICAGO, County of Cook, State of Illinois, to be voted for at the Municipal General Election to be held on February 26, 2019. NAME OFFICE ADDRESS MAYOR OF THE CITY OF 3434 W. WRIGHTWOOD AVE. CHICAGO, COUNTY OF CHICAGO, IL 60647 LORI LIGHTFOOT COOK, STATE OF ILLINOIS

COUNTY, SIGNATURE OF QUALIFIED VOTER PRINTED NAME OF QUALIFIED VOTER RESIDENCE ADDRESS CITY STATE

1 CHICAGO COOK, IL

2 CHICAGO COOK, IL

3 CHICAGO COOK, IL

4 CHICAGO COOK, IL

5 CHICAGO COOK, IL

6 CHICAGO COOK, IL

7 CHICAGO COOK, IL

8 CHICAGO COOK, IL

9 CHICAGO COOK, IL

10 CHICAGO COOK, IL

11 CHICAGO COOK, IL

12 CHICAGO COOK, IL

13 CHICAGO COOK, IL

14 CHICAGO COOK, IL

15 CHICAGO COOK, IL STATE OF ILLINOIS) :ss COUNTY OF COOK)

I, ______, (circulator’s name) being first duly sworn, do hereby certify that I reside at ______in the City/Town/Village /Unincorporated Area (circle one) of ______, ZIP code ______, County of Cook, State of Illinois, that I am eighteen (18) years of age or older, (or 17 years of age and will be 18 years of age on the date of the immediately following general or consolidated election and am otherwise qualified to vote), that I am a citizen of the , and that the signatures on this sheet were signed in my presence, and are genuine and that none of the signatures on the sheet were signed more than 90 days preceding the last day for the filing of the petition, and that to the best of my knowledge and belief the persons so signing were, at the time of signing the petition duly registered voters of the City of Chicago, County of Cook, State of Illinois, the political subdivision in which the candidate is seeking elective office, and that their respective residences are correctly stated as above set forth.

______(Circulator’s Signature)

Signed and Sworn to (or affirmed) before me, by ______on ______, 2018. (Print Name of Circulator Here) (insert month, day)

(SEAL) ______SIGNATURE OF NOTARY PUBLIC SHEET NO. ______